Search › Georgia › 183500000X
Robert Irwin
NPI 1720325590 · on the registry since 2013 · sole proprietor
Practice
- Address
- 380 N Deshon Rd
Stone Mountain, GA 30087 - Phone
- (770) 879-2706
- Organisation at this address
- Publix Super Markets Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia